Ogata M, Okuda M, Nakajima M, Pereira P N, Sano H, Tagami J
Cariology and Operative Dentistry, Department of Restorative Sciences, Graduate School, Tokyo Medical and Dental University, 5-45 Yushima 1-chome, Bunkyo-ku, Tokyo 113-8549, Japan.
Oper Dent. 2001 Jan-Feb;26(1):27-35.
This study investigated the influence of the direction of dentinal tubules on resin-dentin tensile bond strength (mu TBS) using four commercially available bonding systems and observed the resin-dentin interfaces with an SEM. The dentin bonding systems used in this study were Clearfil Liner Bond II (LB, Kuraray), Imperva Fluoro Bond (FB, Shofu), Single Bond (SB, 3M) and One-Step (OS, BISCO). Thirty-six extracted caries-free human molars were used for micro tensile bond testing and eight additional teeth were used for scanning electron microscopy (SEM). The teeth were divided into two groups according to the direction of the dentinal tubules at the resin-dentin interface: a perpendicular group, in which the occlusal enamel was removed perpendicular to the long axis of the tooth, and a parallel group, in which the mesial half of the tooth was removed parallel to the long axis of the tooth, and the coronal dentin surface was used for bonding. After the flat dentin surfaces were polished with #600 silicon carbide paper, each surface was treated with one of the four adhesive systems according to the manufacturer's recommendation, then covered with resin composite (Clearfil AP-X, Kuraray) to provide sufficient bulk for micro-tensile bond testing. After 24 hours in 37 degrees C water, the resin-bonded teeth were serially sliced perpendicular to the adhesive surface, the adhesive interface trimmed to a cross sectional area of 1 mm2 and subjected to tensile forces at a crosshead speed of 1 mm/min. Statistical analysis of the tensile bond strengths were performed using two-way ANOVA and Fisher's PLSD test at 95% level of confidence. The tensile bond strength of the group with tubules parallel to the bonded interface was higher than that of tubules cut perpendicularly. This tendency reached statistical significance using SB and OS.
本研究使用四种市售粘结系统,调查牙本质小管方向对树脂-牙本质拉伸粘结强度(μTBS)的影响,并通过扫描电子显微镜(SEM)观察树脂-牙本质界面。本研究中使用的牙本质粘结系统为Clearfil Liner Bond II(LB,可乐丽公司)、Imperva Fluoro Bond(FB,松风公司)、Single Bond(SB,3M公司)和One-Step(OS,BISCO公司)。三十六颗拔除的无龋人类磨牙用于微拉伸粘结测试,另外八颗牙齿用于扫描电子显微镜(SEM)观察。根据树脂-牙本质界面处牙本质小管的方向,将牙齿分为两组:垂直组,即垂直于牙齿长轴去除咬合面釉质;平行组,即平行于牙齿长轴去除牙齿近中一半,将牙冠牙本质表面用于粘结。用#600碳化硅砂纸将牙本质表面打磨平整后,根据制造商的建议,用四种粘结系统之一处理每个表面,然后覆盖树脂复合材料(Clearfil AP-X,可乐丽公司),以提供足够的体积用于微拉伸粘结测试。在37℃水中浸泡24小时后,将粘结树脂的牙齿垂直于粘结面依次切片,将粘结界面修整至1mm2的横截面积,并以1mm/min的十字头速度施加拉力。使用双向方差分析和Fisher's PLSD检验在95%置信水平下对拉伸粘结强度进行统计分析。小管与粘结界面平行的组的拉伸粘结强度高于垂直切割小管的组。使用SB和OS时,这种趋势具有统计学意义。